经骶部“∧”形切口一期肛门成形术治疗女婴无肛阴道瘘17例疗效分析

One-stage Correction of Infantile Intermediate or Low-grade High Perforate Anus with Rectovaginal Fistula: through “∧” Skin Incision in Pars Sacralis

目的分析骶部“∧”形切口骶会阴一期肛门成形术治疗女婴无肛阴道瘘的可行性及其手术要点。方法1998年4月～2005年11月共收治17例中位及较低高位无肛阴道瘘患儿，均行骶部“∧”形切口骶会阴一期肛门成形术，回顾分析其治疗结果。结果17例患儿术后均无排便失禁，1例伴轻度直肠粘膜脱垂，骶部切口无一例感染。结论中位及较低高位无肛阴道瘘患儿，经骶部“∧”形切口行骶会阴一期肛门成形术，可免除分期手术的痛苦，无需行肠造瘘，骶部切口愈合好，肛门排便功能基本达到正常。

Objective To evaluate one-stage correction through ＂ A ＂ skin incision in pars sacralis of infantile intermediate or low-grade high perforate anus with rectovaginal fistula. Methods Clinical data of 17 infantile intermediate or low-grade high perforate anus underwent one-stage procedure through ＂ A ＂ skin incision in pars sacralis from April 1998 to November 2005 was retrospectively reviewed. Results There was no soiling or incisional infection in all cases, 1 case developed mild rectal mucosa prolapse. Conclusion Infantile intermediate or low-grade high perforate anus with rectovaginal fistula operated by one-stage procedure through ＂ A ＂ skin incision in pars sacralis can avoid protective colostomy , infected incision in pars sacralis and get voluntary bowel movements.